Do you have increased coughing at night?

Hi Sue
I finally was able to see my pulmonologist this past Tuesday. I am on several medications. He prescribed an oral antibiotic, Ceftin, albuterol/ipatrium, prednisone and budesonide in addition to my normal morning routine of 7% saline and 3% in the evening.
I have been trying to research the right order to take all of these inhaled medicines, but get conflicting information on the COPD Foundation website. Since staring the Budesonide there has been a considerable improvement in the wheezing and coughing.
Is there an order in which to nebulize the budesonide and the albuterol/ipatrium? The pulmonologist did not give me any directions in that regard. Thank you, JoAnn

My instructions were always 1 Albuterol to open the airways, 2 budosenide, 3 saline, 4 airway clearance.

Does anyone use Singulair (Montelukast Sodium) for seasonal allergies? There are strong warnings regarding this medication for side effects.

Absolutely. I have used it for asthma and allergies, along with several other meds, for about 40 years without noticeable problems.

Thanks, Sue: I just started using Singulair for my recent bout with bronchitis. Realizing you have been using it for 40 years, do you have insomnia and dry mouth? I am experiencing some sleep issues and a very dry mouth. I will stick with it to see if it helps with the wheezing I recently experienced.

Neither has been an issue for me. What other medications were you given for the bronchitis?
Sue

Duoneb 2x day, prednisone, (just about finished with it) Budesonide nebulized 2x day. About to finish up prednisone. I want to get my flu shot next week but am concerned being on Budesonide. I may stop using it by the end of this week.

Well, with budesonide, Duoneb & prednisone, you are on a triple dose of steroids. When I use two any of those together, I not only have trouble sleeping, I am jittery, jumpy, jangly just plain ugly to be around. Perhaps things will calm down after most of that steroids are out of your system? Also, 4 nebs per day are likely contributing to dry mouth.

Can you stick it out until you are off all but the DuoNeb for a week and see if things improve?
Sue

I have MAC and bronch and I've been using Singulair for some time. I've been worried about the side effects and asked my doctor. He said it is a safe medication, but my doubts remain. Has anyone had a problem with depression and disturbed sleep with Singulair? I'm thinking of stopping it for now to see if my sleep improves. "Depression" is a clinically sounding word but I certainly have times when I feel discouraged, which must be normal for anyone dealing with MAC, so may not be due to Singulair.

I have been using Singulair for about 2 months and I see a difference in the amount of mucus I bring up as well as less wheezing. I do not have any issues with depression and I think disturbed sleep comes with MAC and any other issues weighing on your mind at night. If you have been using it for some time and those side effects are just occuring, it may be related to something other than Singulair. Good luck!